| NPI | 1366821837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAH ROBERT LEVI Owner 313-881-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14188) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |